Healthcare Provider Details

I. General information

NPI: 1740716182
Provider Name (Legal Business Name): OBIMEM CARING HAND INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2017
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5906 HARFORD RD
BALTIMORE MD
21214-1845
US

IV. Provider business mailing address

5906 HARFORD RD
BALTIMORE MD
21214-1845
US

V. Phone/Fax

Practice location:
  • Phone: 410-853-7602
  • Fax: 410-853-7604
Mailing address:
  • Phone: 410-853-7602
  • Fax: 410-853-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW EMEKA OBIEFULE SR.
Title or Position: PRESIDENT
Credential:
Phone: 443-653-0528